Quantifying the functional and psychological outcomes after periprosthetic femoral fracture in association with total hip arthroplasty in older adults
Abstract
This thesis evaluated the functional and psychological outcomes in older adults with a periprosthetic femoral fracture (PPF) after total hip arthroplasty. The first study was a retrospective chart review of 130 people who had PPF surgery to evaluate the functional and psychological outcomes and mortality rate at one-year post-PPF surgery. The second study assessed falls, mobility, balance, and lower extremity strength in ten people at 6-months to 4-years after PPF surgery. In Study 1, people had low scores on function and psychological well-being and the one-year mortality was 15.4%. Participants in Study 2 demonstrated slower gait, reduced mobility, balance and leg strength compared to age and sex-matched normative values, social isolation, a lack of falls awareness and a falls occurrence of 50.0%. These indicate that the evaluation of rehabilitation protocols for functional and psychological recovery is warranted to achieve better outcomes in this population.